Abdominal macrochaetae of female Hylesia oratex Dyar, 1913 (Insecta: Lepidoptera: Saturniidae): external morphology and medical significance.

The representatives of the genus Hylesia Hübner, [1820] are significant among the medically important Lepidoptera. Adult females use abdominal setae to wrap and protect the eggs that remain for months in nature. These setae, in contact with human skin, may cause allergic reactions including swelling, itching and local erythema, known as lepidopterism. The morphology of the abdominal scales and setae from the female H. oratex Dyar, 1913 is herein described and aspects related to their medical significance are discussed. Portions of each abdominal segment were examined through a scanning electron microscope. Two types of scales without medical importance, and two types of setae with medical importance, classified as "true setae" and "modified setae" were found. The true setae, which are slightly fusiform and have radially arranged lateral projections, are responsible for the allergic reactions caused by skin penetration. The modified setae, which are larger, curved, with the median enlarged and serrated margins, can be responsible for the release of chemical substances. This information provides a better understanding of the structure of the urticating setae, which are responsible for lepidopterism outbreaks in humans, and contributes towards the identification of the moth species involved.

Phyllocnistis furcata sp. nov.: a new species of leaf-miner associated with Baccharis (Asteraceae) from Southern Peru (Lepidoptera, Gracillariidae).

The southwestern Andes of Peru harbors a hidden taxonomic diversity of Lepidoptera. Here a new leaf-mining species of Gracillariidae (Lepidoptera) is described, Phyllocnistis furcata Vargas & Cerdeña, sp. nov., from a dry Andean valley of southern Peru, at 2400 m above sea level. The morphological aspects of adults (male and female) and the immature stages associated with Baccharis alnifolia Meyen & Walp. (Asteraceae) are given, under optical microscopy and scanning electron microscopy. DNA barcodes show that its nearest neighbor is the Atlantic Forest species Phyllocnistis ourea Brito & Moreira, 2017 that feeds on Baccharis anomala DC. The importance of morphological characters from immature stages for diagnosis among congeneric species is also discussed. Phyllocnistis furcata represents the fourth species of Phyllocnistis Zeller for Peru, and first record from the south of Peru for the genus.

Birth prevalence and natural history of congenital cytomegalovirus infection in a highly seroimmune population.

BACKGROUND: The natural history of congenital cytomegalovirus (CMV) infection is scarcely known in populations with high maternal CMV seroprevalence. This study evaluated the birth prevalence, clinical findings at birth, and hearing outcome in CMV-infected children from such a population. METHODS: Consecutively born infants were screened for the presence of CMV in urine and/or saliva specimens during the first 2 weeks after birth. Neonatal clinical findings were recorded, and CMV-infected children were tested to document hearing function during follow-up. A subset of mothers of CMV-infected infants were prenatally tested for the presence of anti-CMV immunoglobulin G antibodies. RESULTS: Congenital CMV infection was confirmed in 87 (1.08%; 95% confidence interval [CI], 0.86%-1.33%) of 8047 infants. Seven infants (8.1%; 95% CI, 3.3%-15.9%) had at least 1 clinical finding suggestive of CMV infection, and 4 (4.6%; 95% CI, 1.3%-11.3%) had >3 findings of systemic disease. Sensorineural hearing loss was found in 5 (8.6%; 95% CI, 2.9%-19.0%) of 58 children tested at a median age of 21 months. Bilateral profound hearing loss was observed in 2 children, and the hearing threshold was >60 decibels in all 5 children with hearing loss, including 2 children born to mothers with probable nonprimary CMV infection. CONCLUSIONS: The results of this large newborn screening study in a population with high CMV seroimmunity provide additional evidence that congenital CMV disease occurs in populations with high seroprevalence rates, with a similar incidence of CMV-related hearing loss to that reported in the offspring of women from populations in developed countries with lower rates of seroimmunity to CMV.

CD1a and factor XIIIa immunohistochemistry in leprosy: a possible role of dendritic cells in the pathogenesis of Mycobacterium leprae infection.

Leprosy is a curable chronic granulomatous infectious disease caused by the bacillus Mycobacterium leprae. This organism has a high affinity for skin and peripheral nerve cells. In the evolution of infections, the immune status of patients determines the disease expression. Dendritic cells are antigen-presenting cells that phagocytose particles and microorganisms. In skin, dendritic cells are represented by epidermal Langerhans cells and dermal dendrocytes, which can be identified by expression of CD1a and factor XIIIa (FXIIIa). In the present study, 29 skin samples from patients with tuberculoid (13 biopsies) and lepromatous (16 biopsies) leprosy were analyzed by immunohistochemistry using antibodies to CD1a and FXIIIa. Quantitative analysis of labeling pattern showed a clear predominance of dendritic cells in tuberculoid leprosy. Difference between the number of positive cells of immunohistochemistry for the CD1a and FXIIIa staining observed in this study indicates a role for dendritic cells in the cutaneous response to leprosy. Dendritic cells may be a determinant of the course and clinical expression of the disease.

Spodoptera cosmioides (Lepidoptera: Noctuidae) in Brazil: spatial distribution and relationship in the S. latifascia species group

ABSTRACT Spodoptera cosmioides (Walker, 1858) is an economically relevant polyphagous moth, widely distributed in the Neotropics and part of the Spodoptera latifascia (Walker, 1856) species group. In this study, we used extensive sampling from different regions to describe the spatial distribution of S. cosmioides in Brazil and evaluate its variability both from morphological and molecular perspectives. Variable coloration and several morphological similarities were found among S. cosmioides and congeners of the S. latifascia complex, diverging from each 0.5 to 3.5% of mitochondrial DNA. The genetic divergence at the species level of S. cosmioides was 0.5% throughout Brazil, and a geographic structure was absent, including shared haplotypes with S. descoinsi Lalanne-Cassou & Silvain, 1994. Spodoptera cosmioides was found in all six biomes of Brazil, with the highest abundance recorded in the Cerrado, followed by the Amazon, Atlantic Rainforest, Caatinga, Pantanal, and Pampa.

An illustrated catalogue of the Neotropical Gracillariidae (Lepidoptera) with new data on primary types.

Gracillariidae leaf miners include 1987 species of poorly studied micromoths for which the majority of the diversity has been described from temperate regions. The Neotropics harbors one of the richest faunas of Gracillariidae, but the rate of taxon descriptions has been slow because of limited sampling and taxonomic activity. In this illustrated catalogue, we provide, for the first time, 476 high resolution illustrations for the 201 species of named gracillariids occurring in the region and revise their classification, newly considering the family-group names Oecophyllembiini stat. nov., Marmarini stat. nov., and Parornichini stat. nov. as tribes of Phyllocnistinae, in the first two cases and Gracillariinae in the last case respectively. Two species, Sauterina hexameris (Meyrick, 1921) comb. nov. and S. phiaropis (Meyrick, 1921) comb. nov., are transferred to Sauterina from Gracillaria. By making taxonomic, distributional, molecular and biological data available in a concise form, we aim to facilitate taxonomic work on Neotropical gracillariids, and in turn to enhance studies in general on poorly studied organisms such as parasitoids from this biogeographical region.

Vallissiana universitaria (Lepidoptera: Gracillariidae): a new genus and species of leaf-mining moth associated with Erythroxylum (Erythroxylaceae) in the Atlantic Forest of Brazil.

Vallissiana universitaria Pereira Arévalo, a new genus and species of leaf-miner moth (Gracillariidae: Gracillariinae) is described and illustrated with the aid of optical and scanning electron microscopy, including adults, larva, pupa and the mine. Its monophyletic status is confirmed within the subfamily based on a DNA barcode CoI tree. The immature stages are associated with Erythroxylum argentinum O. E. Schulz (Erythroxylaceae) and four larval instars are found, all forming a round blotch mine from the beginning of ontogeny. The first two instars are sap-feeders, using only the epidermal cells, whereas the last two are tissue-feeders, mining the parenchyma cells. Pupation occurs inside the leaf mine within a flimsy, silk-made cocoon. This is the third endemic genus of gracillariid moths described from the Atlantic Forest of Brazil and the first associated with Erythroxylum P. Browne. Characteristics found on the forewing and in the last abdominal segments of the adult were determinant for the proposition of the new genus. The CoI tree indicated that it is closely related to Aspilapteryx, while this genus was recovered as polyphyletic in the analyses. Morphological evidence supports this polyphyly. Consequently, Sabulopteryx Triberti, 1985, stat. nov. is considered a valid genus.

Nova ocorrência de lepidopterismo por Hylesia nigricans (Berg, 1875) (Lepidoptera: Saturniidae) no Rio Grande do Sul, Brasil / New occurrence of lepidopterism by Hylesia nigricans (Berg, 1875) (Lepidoptera: Saturniidae) in Rio Grande do Sul, Brazil

Adult forms of lepidopterans can cause health problems. This type of incident is known as Lepidopterism, which is caused by contact with urticating setae released by adults, such as those from the Hylesia Hübner (Saturniidae) genus. In this study, the objective is to document a new occurrence of lepidopterism caused by specimens of Hylesia nigricans(Berg, 1875) (Lepidoptera: Saturniidae). The outbreak took place in the summer of 2017 in the municipality of Três Coroas, Rio Grande do Sul, Brazil. During this period, approximately 300 people were affected by dermatitis in the municipality.The outbreak resulted from the release of two types of urticating setae by female moths in the area. We want to emphasize that in case of proliferation of this moth species, it is essential to instruct the population to avoid direct contact with these insects. Monitoring these groups of lepidopterans is fundamental in facilitating decision-making and ensuring public health. (AU)

Formas adultas de lepidópteros podem causar problemas de saúde. Esse tipo de acidente é conhecido como lepidopterismo, causado pelo contato com cerdas urticantes liberadas por adultos, como as do gênero Hylesia Hübner (Saturniidae). Neste estudo, o objetivo é registrar uma nova ocorrência de lepidopterismo causado por espécimes de Hylesia nigricans (Berg, 1875) (Lepidoptera: Saturniidae). O surto ocorreu no verão de 2017, no município de Três Coroas, Rio Grande do Sul, Brasil. No período, aproximadamente 300 pessoas foram acometidas por dermatite no município. O surto foi causado pela liberação de dois tipos de setas urticantes das mariposas fêmeas no ambiente. Ressaltamos que na ocorrência da proliferação dessa espécie de mariposa, é importante instruir a população a evitar o contato direto com esses insetos. O monitoramento desses grupos de lepidópteros é fundamental para facilitar a tomada de decisões e garantir a saúde pública. (AU)

Experimental inoculation model of Walker 256 carcinoma into vagina and cervix uteri of female rats.

PURPOSE: To establish an inoculation model of Walker 256 carcinoma on cervix uteri and vagina of rats. METHODS: Fifteen female rats were used, and assigned to three groups each one with five rats: group A - rats with 4 x 10(6) cells of Walker 256 carcinoma without acid acetic inoculation; group B - rats with 2 x 10(6) cells of Walker 256 carcinoma with acid acetic inoculation and group C: rats with 4 x 10(6) cells of Walker 256 carcinoma with acid acetic inoculation. The day before tumor cells inoculation the rats from groups B and C were anaesthetized with diethylether and 0,3 ml of acetic acid was inoculated into their vaginas. Tumor cell inoculation into the vagina and cervix was done under general anesthesia with diethylether. Then a endocervical brush was used to scrape the vaginal wall and after that 0,3 ml of the liquid containing tumor cells was inoculated on the vagina and cervix. For the tumor analysis, animals were euthanized at day 12 following tumor cell implantation by an excessive inhalation of diethylether. Tumor was resected entirely and weighed and the tumors were then sectioned and counter stained with hematoxylin and eosin for histopathologic evaluation. It was also calculated the percentage of tumor equivalent to the body weight by the formula: P= tumor weight / body weight x 100. Data were analyzed by one-way analysis of variance - ANOVA. P values < 0.05 were taken to indicate statistical significance. RESULTS: Implantation and growth on GB and GC was 100% and on GA 20%. There was no statistical difference between GB and GC averages. CONCLUSION: According to the methods used, the Walker 256 carcinoma inoculation model into vagina and cervix have an implantation and growth rate of 100% when associated with previous acid acetic inoculation and there is no behavioral difference between using 2 x 10(6) or 4 x 10(6) cells on its inoculation.

Taxonomic revision of Neotropical Phyllocnistis Zeller, 1848 (Lepidoptera: Gracillariidae), with descriptions of seven new species and host plant associations.

Until now, 20 species of leaf-mining micromoths of the genus Phyllocnistis Zeller (Lepidoptera, Gracillariidae) have been known to occur in the Neotropical region. Here we revise the previously known species and describe seven new species: four from French Guiana, P. kawakitai Brito & Lopez-Vaamonde, sp. nov., P. norak Brito & Lopez-Vaamonde, sp. nov., P. ohshimai Brito & Lopez-Vaamonde, sp. nov., P. petronellii Brito & Lopez-Vaamonde, sp. nov.; and, three from Brazil, P. helios Brito & Moreira, sp. nov., P. jupiter Brito & Moreira, sp. nov. and P. xylopiella Brito & Becker, sp. nov. Lectotypes are designated for P. aurilinea Zeller, 1877; P. citrella Stainton, 1856; P. rotans and P. sexangula Meyrick, 1915. Detailed descriptions of the pattern of forewing fasciae are provided for all species. Host plant associations, photographs of adults and illustrations of genitalia, when available, are provided for the described species of Neotropical Phyllocnistis. In addition, DNA barcodes were used for the delimitation of some species.

Is saliva as reliable as urine for detection of cytomegalovirus DNA for neonatal screening of congenital CMV infection?

BACKGROUND: There are no studies on the detection of cytomegalovirus (CMV) DNA by molecular methods in the saliva of newborn infants in large scale screening programs. OBJECTIVES: To evaluate the usefulness of saliva as a sample for the neonatal screening of congenital CMV infection as compared to urine when processed by a PCR. STUDY DESIGN: Saliva and urine samples were obtained during the first week of life. Both samples were attempted to be obtained from the first 2816 neonates. Subsequently, only saliva was obtained from other 1623 infants. Urine and saliva were processed by DNA-PCR. Confirmation of positive results was done by PCR and virus isolation by 3 weeks after birth. RESULTS: A urine sample was not obtainable from 893/2816 (31.7%) infants. Both saliva and urine samples were obtained from the remaining 1923 infants. Of these, 28 (1.45%) were CMV-infected. There was 99.7% agreement between the results with both samples. CMV excretion was similar when PCR was applied to urine (1.3%) or to saliva (1.2%) samples. Among the subsequent 1623 infants for whom only a saliva sample was planned for screening, 16 (0.98%) were CMV-infected. CONCLUSIONS: Saliva samples are as useful as urine for the identification of CMV-DNA in large use for screening programs.

An annotated taxonomic checklist of the Neotropical Gracillariidae (Lepidoptera) with links to the information on host plants and parasitoids.

This comprehensive checklist is a synthesis of the verified taxonomic information on all known Neotropical Gracillariidae species presented in a concise and uniformed way. The taxonomic information on these moth species in the Neotropical region is assembled and presented along with the referenced information on species distribution, host plants and parasitoids. The Genbank and BOLD accession numbers are given for the species that have been genetically investigated. By consulting robust literature sources, the Gracillariidae collections at natural history museums and in private holdings, we emphasize the significance of inter-links between the information on host plants, gracillariid moths and their parasitoids in the Neotropical Region.

A redescription of Antispastis clarkei Pastrana (Lepidoptera, Glyphipterigidae) immature stages, with notes on the life history and phylogenetic placement of the genus

Abstract Antispastis Meyrick, 1926 is a poorly known genus of leaf-mining micromoths endemic to the Neotropics, with still uncertain taxonomic position within the Yponomeutoidea. In the present study, the egg, larva and pupa of A. clarkei Pastrana, previously known only from Argentina, are described and illustrated with the aid of optical and scanning electron microscopy. Data on life history, including histology of the mine, are also provided. Family placement of the genus is reassessed based on comparison of morphology and DNA sequences with closely related lineages. The larvae form blotch mines on the upper surface of Solanum L. (Solanaceae) leaves, feeding on palisade parenchyma in all instars. Pupation occurs outside the mine, in an inverted basket-like, large-meshed cocoon constructed on the plant surface. DNA analysis of Cytochrome oxidase I gene of A. clarkei revealed interspecific differences averaging 10% with A. xylophragma, which provided species separation matching morphological differences. Antispastis was closely related phylogenetically to Digitivalva, clustering in the Acrolepiinae together with the genera Acrolepia and Acrolepiopsis, and ultimately placed within Glyphipterigidae. The geographical distribution of A. clarkei is expanded to the Southern Atlantic forest (Rio Grande do Sul and Paraná states, Brazil).

Association between human Papillomavirus and colorectal adenocarcinoma and its influence on tumor staging and degree of cell differentiation.

BACKGROUND: Colorectal cancer is one of the most common types of neoplasia among the worldwide adult population. Among neoplasms of the gastrointestinal tract, it is ranked second in relation to prevalence and mortality, but its etiology is only known in around 5% of the cases. It is believed that 15% of malignant diseases are related to viral oncogenesis. AIM: To correlate the presence of HPV with the staging and degree of cell differentiation among patients with colorectal adenocarcinoma. METHODS: A retrospective case-control study was conducted on 144 patients divided between a test group of 79 cases of colorectal cancer and a control group to analyze 144 patients aged 25 to 85 years (mean, 57.85 years; standard deviation, 15.27 years and median, 58 years). Eighty-six patients (59.7%) were male. For both groups, tissue samples from paraffin blocks were subjected to DNA extraction followed by the polymerase chain reaction using generic and specific primers for HPV 16 and 18. Dot blot hybridization was also performed with the aim of identifying HPV DNA. RESULTS: The groups were shown to be homogenous regarding sex, age and site of HPV findings in the samples analyzed. Out of the 41 patients with HPV, 36 (45.6%) were in the cases and five (7.7%) were in the control group (p<0.001). All the HPV cases observed comprised HPV 16, and HPV 18 was not shown in any of the cases studied. There were no significant differences in comparisons of sex, age and site regarding the presence of HPV in either of the groups. It was not observe any significant difference in relation to staging or degree of cell differentiation among the patients with colorectal cancer. CONCLUSION: Human papillomavirus type 16 is present in individuals with colorectal carcinoma. However, its presence was unrelated to staging or degree of differentiation.

A new Brazilian Passiflora leafminer: Spinivalva gaucha, gen. n., sp. n. (Lepidoptera, Gracillariidae, Gracillariinae), the first gracillariid without a sap-feeding instar.

Male, female, pupa, larva and egg of a new genus and species of Gracillariidae (Gracillariinae), Spinivalva gaucha Moreira and Vargas from southern Brazil are described and illustrated with the aid of optical and scanning electron microscopy. A preliminary analysis of mitochondrial DNA sequences including members of related lineages is also provided. The immature stages are associated with Passiflora actinia, Passiflora misera and Passiflora suberosa (Passifloraceae), and build mines on the adaxial leaf surface. Initially the mines are serpentine in shape, but later in larval ontogeny become a blotch type. Although the larvae are hypermetamorphic as in other Gracillariidae, there is no sap-feeding instar in Spinivalva gaucha; the larva feeds on the palisade parenchyma, thus producing granular frass during all instars. Pupation occurs outside the mine; prior to pupating, the larva excretes numerous bubbles that are placed in rows on the lateral margins of the cocoon external surface. This is the second genus of gracillariid moth described for the Atlantic Rain Forest, and the second gracillariid species known to be associated with Passifloraceae.

Phyllocnistis hemera sp. nov. (Lepidoptera: Gracillariidae): a new species of leaf-miner associated with Daphnopsis fasciculata (Thymelaeaceae) in the Atlantic Forest

ABSTRACT During recent studies performed in the Atlantic Forest, a new species of Phyllocnistinae (Gracillariidae), Phyllocnistis hemera sp. nov., leaf miner of Daphnopsis fasciculata (Thymelaeaceae) was discovered. The adults are described and illustrated as well as the immature stages, with notes on natural history including a description of the leaf mine. Additionally, DNA barcode sequences were compared to other representatives of Phyllocnistinae to test for the specific status of P. hemera and to infer phylogenetic relationships. This is the fifth species described for the genus Phyllocnistis in the Atlantic Forest and the first record of a gracillarid mining Thymelaeaceae leaves.

Extant diversity and estimated number of Gracillariidae (Lepidoptera) species yet to be discovered in the Neotropical region

ABSTRACT Gracillariidae (Lepidoptera) are commonly known by the leaf miner habit found in the larval stage of most species. By using worldwide, public databases on species diversity and DNA sequences available for extant gracillariid species, we determined changes in the rate of taxonomic species descriptions through time, mapped their spatial distributions, examined their phylogenetic diversification, and estimated the number of species yet to be described for the family in the Neotropics. We recovered 185 species, a number that is smaller than that found in any other biogeographic region. However, it was estimated that at least 3875 additional species remain to be described in the region. Phylogenetic diversification showed a pattern of expanding diversity. A few entomologists have been involved with gracillariid taxonomy in the Neotropics, having 39% of the species been described by a single taxonomist. In most of such cases, descriptions were based on the adults only. A few species have been described from biomes known to have some of the greatest diversity on earth, such as the Atlantic Forest. Thus, such a scenario results from low sampling and scarce taxonomic activity that has prevailed for this family of moths in the Neotropics. It may also be associated with their small body size and to the fact that gracillariids do not seem to be attracted to light traps as much as other moths, which make their collection and identification by non experts difficult. We also suggested scientific and political actions that could be adopted to overcome such an unfavorable scenario.

Conhecimento dos enfermeiros sobre evento adverso e os desafios para a sua notificação / Nurses' knowledge about adverse events and the challenges of reporting these events / Conocimiento de los enfermeros acerca del evento adverso y los desafíos para sua notificación

Estudo descritivo transversal com abordagem quanti-qualitativa, que objetivou investigar o conhecimento e percepção dos enfermeiros sobre os eventos adversos, sua notificação e os fatores que limitam a sua realização. A coleta de dados foi realizada entre novembro e dezembro de 2015 em um hospital público da região centro sul de Sergipe. A amostra foi composta por 28 enfermeiros, que responderam a um formulário semiestruturado analisado com estatística descritiva e análise de conteúdo. Dentre os participantes, 16 (57%) demonstraram conhecimento deficiente sobre evento adverso, entretanto 27 (96%) dos envolvidos no estudo tem percepção da importância da notificação, porém existe subnotificação devido a fatores como o medo de punições. Conclui-se que devem ser realizadas ações educativas a fim de esclarecer o que são eventos adversos e medidas que incentivem a notificação (AU).

A descriptive cross-sectional study with quantitative and qualitative approach that aimed to investigate the nurses' knowledge and perception of adverse effects, reporting of such events and factors that may limit reporting. Data collection was performed between November and December 2015 in a public hospital of the Center-South region of the state of Sergipe. The sample was composed of 28 nurses who completed a semi-structured form analyzed through descriptive statistics and content analysis. Among the participants, 16 (57%) were 16 (57%) showed little knowledge on adverse events, and, 27 (96%) respondents perceived the importance of reporting. However, these events are underreported due to fear of punishment, among other factors. It is concluded that educational actions and measures aimed to clarify these health professionals on adverse events and encourage reporting are needed (AU).

Estudio descriptivo transversal de abordaje cuantitiva cualitativa, cuya finalidad fue investigar el conocimiento y percepción de los enfermeros acerca de eventos adversos, su notificación y los factores que limitan su realizacióno. Los datos fueron obtenidos entre noviembre y diciembre de 2015 en un hospital público de la región centro sur de Sergipe. La muestra fue compuesta por 28 enfermeros, que contestaron a un formulario semiestructurado analizado con estadística descriptiva y análisis de contenido. Entre los participantes, 16 (57%) demostraron conocimiento deficiente acerca de evento adverso, sin embargo 27 (96%) de las personas abarcadas en el estudio tienen percepción de la importancia de la notificación, pero hay subnotificación a causa de factores como el miedo de puniciones. Se concluye que se deben realizar acciones educativas para aclarar lo que son eventos adversos y medidas que incentiven la notificacióN (AU).